Exam 10: Vital Signs

When evaluating the temperature of older adults, the nurse should remember which aspect about an older adult's body temperature?

When assessing a patient's pulse, the nurse should also notice which of these characteristics?

When measuring a patient's body temperature, the nurse should keep in mind that what can influence the temperature?

While measuring a patient's blood pressure, the nurse uses the proper technique to obtain an accurate reading. Which of these situations will result in a falsely high blood pressure reading? (Select all that apply.)

While measuring a patient's blood pressure, the nurse should recall that which is a factor that influences a patient's blood pressure?

The nurse is helping another nurse take a blood pressure reading on a patient's thigh. Which action is correct regarding thigh pressure?

A 75-year-old man with a history of hypertension was recently changed to a new antihypertensive drug. He reports feeling dizzy at times. How should the nurse evaluate his blood pressure?

When auscultating the blood pressure of a 25-year-old patient, the nurse notices that the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg, the Korotkoff sounds muffle. At 92 mm Hg, the Korotkoff sounds disappear. How should the nurse record this patient's blood pressure?

When checking for proper blood pressure cuff size, which guideline is correct?

Which technique is correct when the nurse is assessing the radial pulse of a patient?

When assessing the force, or strength, of a pulse, what should the nurse recall about the pulse?

Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a glass thermometer?

The nurse notices that a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. How would this likely affect the blood pressure reading?

When considering the concepts r/t blood pressure, the nurse knows that the concept of mean arterial pressure (MAP) is best described by which statement?

A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?

The nurse should measure rectal temperatures in which of these patients?

The nurse is assessing children in a pediatric clinic. Which statement is true regarding the measurement of blood pressure in children?

What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and whose pulse rate is 72 beats per minute? __________

What technique should the nurse use to accurately assess a rectal temperature in an adult?

The nurse is teaching a student nurse about the different types of thermometers. When teaching the student about the advantages of the tympanic membrane thermometer (TMT), which statement should the nurse include?